RIVERVIEW HOSPITAL AND NURSING HOME (CROOKSTON, MN) Detailed Nursing Home Profile

Use of Medical Imaging

Outpatients with low back pain who had an MRI without trying recommended treatments first, such as physical therapy.

This Nursing Home:	40.000%
State:	48.041%

Outpatients who had a follow-up mammogram or ultrasound within 45 days after a screening mammogram.

Here:	3.700%
Minnesota:	6.118%

Outpatient CT scans of the abdomen that were combination (double) scans.

This Nursing Home:	0.053%
Minnesota:	0.072%

Outpatient CT scans of the chest that were combination (double) scans.

Here:	0.040%
Minnesota:	0.011%

Outpatients who got cardiac imaging stress tests before low-risk outpatient surgery

This Nursing Home:	3.600%
State:	5.841%

Hospital Consumer Assessment of Healthcare Providers

Number of Completed Surveys:: Between 100 and 299
Survey Response Rate: 45%

How often did nurses communicate well with patients?

Sometimes or never

Here:	2%
State:	3%

Usually

Here:	16%
Minnesota:	18%

Always

This Nursing Home:	82%
Minnesota:	79%

How often did doctors communicate well with patients?

Sometimes or never

Here:	1%
Minnesota:	3%

Usually

This Nursing Home:	15%
Minnesota:	14%

Always

This Nursing Home:	84%
Minnesota:	83%

How often did patients receive help quickly from hospital staff?

Sometimes or never

This Nursing Home:	4%
Minnesota:	6%

Usually

This Nursing Home:	21%
State:	22%

Always

This Nursing Home:	75%
Minnesota:	72%

How often was patients' pain well controlled?

Sometimes or never

This Nursing Home:	3%
Minnesota:	5%

Usually

This Nursing Home:	27%
State:	25%

Always

Here:	70%
State:	70%

How often did staff explain about medicines before giving them to patients?

Sometimes or never

Here:	17%
State:	16%

Usually

This Nursing Home:	24%
State:	20%

Always

Here:	59%
State:	64%

How often were the patients' rooms and bathrooms kept clean?

Sometimes or never

This Nursing Home:	5%
Minnesota:	6%

Usually

This Nursing Home:	16%
Minnesota:	18%

Always

Here:	79%
Minnesota:	76%

How often was the area around patients' rooms kept quiet at night?

Sometimes or never

Here:	7%
State:	7%

Usually

This Nursing Home:	28%
State:	30%

Always

This Nursing Home:	65%
Minnesota:	63%

Were patients given information about what to do during their recovery at home?

Yes

This Nursing Home:	86%
State:	86%

Here:	14%
State:	14%

How do patients rate the hospital overall on a scale from 0 (lowest) to 10 (highest)?

6 or lower

This Nursing Home:	5%
Minnesota:	6%

7 or 8

Here:	23%
Minnesota:	22%

9 or 10

Here:	72%
Minnesota:	72%

Would patients recommend the hospital to friends and family?

This Nursing Home:	1%
Minnesota:	3%

Yes, probably

Here:	28%
Minnesota:	24%

Yes, definitely

Here:	71%
Minnesota:	73%

Complaint Deficiency

Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed
- Harm: Minimal harm or potential for actual harm
- Scope: Few
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Keep accurate, complete and organized clinical records on each resident that meet professional standards
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Assist those residents who need total help with eating/drinking, grooming and personal and oral hygiene
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Store, cook, and serve food in a safe and clean way
- Harm: Minimal harm or potential for actual harm
- Scope: Some
A two-hour-resistant firewall in common walls
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Provide housekeeping and maintenance services
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Construction that can resist fire for one hour or an approved fire extinguishing system
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Record of quarterly fire drills for each shift under varying conditions
- Harm: Potential for minimal harm
- Scope: Many
Let the resident refuse treatment or refuse to take part in an experiment and formulate advance directives
- Harm: Minimal harm or potential for actual harm
- Scope: Few
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop policies that prevent mistreatment, neglect, or abuse of residents or theft of resident property
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Conduct initial and periodic assessments of each resident's functional capacity
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Review or revise the resident's care plan after any major change in a resident's physical or mental health
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Allow the resident the right to participate in the planning or revision of the resident's care plan
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Provide care by qualified persons according to each resident's written plan of care
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Provide necessary care and services to maintain the highest well being of each resident
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents receive treatment/services to not only continue, but improve the ability to care for themselves
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Make sure that residents with reduced range of motion get proper treatment and services to increase range of motion
- Harm: Minimal harm or potential for actual harm
- Scope: Some
Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents
- Harm: Actual harm
- Scope: Few
1) Make sure that each resident's drug regimen is free from unnecessary drugs; 2) Each resident's entire drug/medication is managed and monitored to achieve highest well being
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have enough nurses to care for every resident in a way that maximizes the resident's well being
- Harm: Minimal harm or potential for actual harm
- Scope: Many
Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist
- Harm: Minimal harm or potential for actual harm
- Scope: Few
At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor
- Harm: Minimal harm or potential for actual harm
- Scope: Few
Have a program that investigates, controls and keeps infection from spreading
- Harm: Minimal harm or potential for actual harm
- Scope: Few

Quality Measures

Percent of long-stay residents whose need for help with daily activities has increased

Here:	19.5%
Minnesota:	15.5%

Percent of long-stay residents who self-report moderate to severe pain

Here:	15.5%
Minnesota:	12.5%

Percent of long-stay residents who lose too much weight

This Nursing Home:	2.3%
State:	7.6%

Percent of long-stay residents who have had a catheter inserted and left in their bladder

This Nursing Home:	15.4%
Minnesota:	4.1%

Percent of long-stay residents with a urinary tract infection

Here:	7.0%
Minnesota:	5.2%

Percent of long-stay residents who have depressive symptoms

This Nursing Home:	2.4%
Minnesota:	7.4%

Percent of long-stay residents experiencing one or more falls with major injury

Here:	4.5%
Minnesota:	3.9%

Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	97.7%
State:	97.0%

Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	100.0%
Minnesota:	96.8%

Percent of short-stay residents with Pressure ulcers that are new or worsened

This Nursing Home:	10.9%
Minnesota:	1.3%

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine

This Nursing Home:	100.0%
State:	87.6%

Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine

This Nursing Home:	91.7%
Minnesota:	86.3%

Percent of long-stay residents who received an antipsychotic medication

This Nursing Home:	23.8%
Minnesota:	17.4%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

This Nursing Home:	0.560
Minnesota:	0.794

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

Here:	0.940
Minnesota:	0.750

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.500
Minnesota:	1.543

Process of Care

Heart Attack

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

This Nursing Home:	9
Minnesota:	7

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

This Nursing Home:	97.0%
Minnesota:	96.6%

Heart Failure

Percent of patients who were given an evaluation of Left Ventricular Systolic Dysfunction (LVSD)

Here:	67.0%
State:	97.5%

Pneumonia

Percent of Patients Given Initial Antibiotic(s) within 6 Hours After Arrival

This Nursing Home:	98.0%
Minnesota:	97.1%

Percent of Patients Whose Initial ER Blood Culture Was Performed Prior To Administration Of First Dose Of Antibiotics

Here:	100.0%
Minnesota:	96.1%

Percent of Patients Given Smoking Cessation Advice/Counseling

This Nursing Home:	100.0%
Minnesota:	96.0%

Percent of Patients Given the Most Appropriate Initial Antibiotic(s)

Here:	93.0%
Minnesota:	92.8%

Percent of Patients Assessed and Given Influenza Vaccination

This Nursing Home:	93.0%
State:	93.0%

Percent of Patients Assessed and Given Pneumococcal Vaccination

This Nursing Home:	86.0%
Minnesota:	94.9%

Surgery

Percent of Surgery Patients given an antibiotic at the right time (within one hour before surgery) to help prevent infection

Here:	91.0%
State:	97.4%

Percent of Surgery Patients whose preventive antibiotics were stopped at the right time (within 24 hours after surgery)

Here:	95.0%
Minnesota:	97.6%

Percent of Surgery Patients who were given the right kind of antibiotic to help prevent infection

Here:	97.0%
Minnesota:	97.9%

Percent of Surgery Patients who got treatment at right time (within 24 hours before or after surgery) to help prevent blood clot

Here:	83.0%
Minnesota:	96.7%

Percent of Surgery Patients whose doctors ordered treatments to prevent blood clots after certain types of surgeries

Here:	83.0%
State:	97.4%

Percent of Surgery Patients needing hair removed from the surgical area before surgery who had hair removed using a safer method

Here:	100.0%
State:	99.8%

Percent of Surgery Patients whose urinary catheters were removed on the first or second day after surgery

Here:	91.0%
Minnesota:	92.7%

Surgery patients who were taking heart drugs called beta blockers before coming to the hospital, who were kept on them

Here:	72.0%
Minnesota:	95.2%

Outpatients having surgery who got an antibiotic at the right time - within one hour before surgery (higher numbers are better)

This Nursing Home:	55.0%
State:	94.0%

Outpatients having surgery who got the right kind of antibiotic (higher numbers are better)

This Nursing Home:	100.0%
Minnesota:	96.8%

Patients having surgery who were actively warmed in the operating room or whose body temperature was near normal

This Nursing Home:	98.0%
State:	99.3%

Outcome of Care

30-Day Mortality Rates from Heart Failure

Here:	11.8%
State:	11.2%

30-Day Mortality Rates from Pneumonia

This Nursing Home:	12.9%
Minnesota:	11.4%

30-Day Readmission Rates from Heart Failure

Here:	24.0%
State:	24.3%

30-Day Readmission Rates from Pneumonia

Here:	18.9%
Minnesota:	18.3%

RIVERVIEW HOSPITAL AND NURSING HOME - CROOKSTON, MN

Use of Medical Imaging

Hospital Consumer Assessment of Healthcare Providers

Complaint Deficiency

Quality Measures

Staff Information

Process of Care

Heart Attack

Heart Failure

Pneumonia

Surgery

Outcome of Care

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